Comparing the Knotless Tension Band and the Traditional Stainless Steel Wire Tension Band Fixation for Medial Malleolus Fractures: A Retrospective Clinical Study

Downey, Michael W.; Duncan, Kyle; Kosmopoulos, Victor; Motley, Travis A.; Carpenter, Brian; Ogunyankin, Fadeke; Garrett, Alan

doi:10.1155/2016/3201678

Cited by 6 publications

(7 citation statements)

References 14 publications

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“…The mean age was 33.3 years. This finding was similar to the observation of Roberts RS in whose study the mean age was 40 years 11 and Beris et al 12 . There was male predominance, and most patients had road traffic accidents as their mode of injury, similar to Nabeel Shams et al 13 .…”

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confidence: 92%

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2022

IJPSR

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Introduction: Medial malleolus fractures are among the most common fractures encountered around the ankle joint. This study was performed to assess the functional outcome between cannulated cancellous screw fixations versus tension band wiring in managing these fractures. Method: A total of 30 patients were selected and were randomly segregated into two groups, Group A and Group B. Group A patients were treated with CC Screw fixation, and Group B patients were treated with TBW. The study was conducted during a time frame of 2 years between 2019-2021. Results: Group A was treated with a CC screw. At the end of 8 weeks, all the patients in this group showed signs of healing at the fracture site. Post-op functional and radiological outcomes were assessed with Olerud and molander scoring. Out of 15 patients, 6 had excellent outcomes, 5 had good results, 3 had fair outcomes, and 1 had a poor outcome. Group B: TBWAt the end of 7 weeks all the pts in this group showed signs of healing at the fracture site. Out of 15 pts, 8 had an excellent outcome, 5 had good results, and 2 had fair outcomes. Conclusion:Treating medial malleolus fractures with either CC screws or TBW produced good results, with a good range of motion and returning to their daily activities. The study shows fractures fixed with CC screws had 40% excellent outcomes, and those fixed with TBW produced 53.3% excellent outcomes at the end of 1 year. INTRODUCTION:Ankle fractures are one of the most common injuries managed by orthopedic surgeons. These fractures are most prevalent in young individuals with a history of road traffic accidents. Isolated malleolar fractures are more common than bimalleolar fractures 1 . Fractures of the lateral malleolus are more common than medial malleolus fractures 2 .

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Section: Fig 7: Post Op Tbwsupporting

confidence: 92%

“…Isolated malleolar fractures are more common than bimalleolar fractures. Fractures of the lateral malleolus are more common than medial malleolus fractures 7 . There are several methods for fixing a medial malleolus fracture in which CC (cannulated cancellous) screw fixation is the most commonly employed method of fixation 8 .…”

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confidence: 99%

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2022

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“… 154 , 155 Due to these associated complications, new low-profile knotless systems were developed that still need to prove their reliability. 156 …”

Section: Operative Treatmentmentioning

confidence: 99%

Current management of trimalleolar ankle fractures

et al. 2021

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A trimalleolar ankle fracture is considered unstable and treatment is generally performed operatively. Computed tomography is important for the operative planning by providing an elaborated view of the posterior malleolus. Trimalleolar ankle fractures have a rising incidence in the last decade with up to 40 per 100,000 people per year. With a growing number of elderly patients, trimalleolar ankle injuries will become more relevant in the form of fragility fractures, posing a particular challenge for trauma surgeons. In patients with osteoporotic trimalleolar ankle fractures and relevant concomitant conditions, further evidence is awaited to specify indications for open reduction and internal fixation or primary transfixation of the ankle joint. In younger, more demanding patients, arthroscopic-assisted surgery might improve the outcome, but future research is required to identify patients who will benefit from assisted surgical care. This review considers current scientific findings regarding all three malleoli to understand the complexity of trimalleolar ankle injuries and provide the reader with an overview of treatment strategies and research, as well as future perspectives. Cite this article: EFORT Open Rev 2021;6:692-703. DOI: 10.1302/2058-5241.6.200138

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“…71,72,99,100 Tension band fixation may be preferred for smaller avulsed fragments. 99,[101][102][103] Screw fixation may also be contraindicated if the patient has osteoporosis or diabetes; such patients can be treated with a plate and screw system. 72,99 Postoperatively, the patient may be nonweightbearing for 4 to 6 weeks, with ROM exercises initiated at 2 weeks (Figure 13).…”

Section: Clinical Medicine Insights: Arthritis and Musculoskeletal DImentioning

confidence: 99%

A Narrative Review on Avulsion Fractures of the Upper and Lower Limbs

Vannabouathong¹,

Ayeni

Bhandari

2018

Clin Med�Insights�Arthritis�Musculoskelet Disord

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Avulsion fractures compromise function and movement at the affected joint. If left untreated, it can lead to deformity, nonunion, malunion, pain, and disability. The purpose of this review was to identify and describe the epidemiology and available treatment options for common avulsion fractures of the upper and lower extremities. Current evidence suggests that optimal treatment is dependent on the severity of the fracture. Conservative efforts generally include casting or splinting with a period of immobilization. Surgery is typically indicated for more severe cases or if nonoperative treatments fail; patient demographics or preferences and surgeon experience may also play a role in decision making. Some avulsion fractures can be surgically managed with any one of various techniques, each with their own pros and cons, and often there is no clear consensus on choosing one technique over another; however, there is some research suggesting that screw fixation, when possible, may offer the best stability and compression at the fracture site and earlier mobilization and return to function. Physicians should be mindful of the potential complications associated with each intervention.

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Comparing the Knotless Tension Band and the Traditional Stainless Steel Wire Tension Band Fixation for Medial Malleolus Fractures: A Retrospective Clinical Study

Cited by 6 publications

References 14 publications

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Current management of trimalleolar ankle fractures

A Narrative Review on Avulsion Fractures of the Upper and Lower Limbs

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